At this time of year, many people are tempted to call in sick for a day or so, suffering from nothing more than the ‘January blues’. However, the annual costs in Britain of long term sickness absence and worklessness* associated with genuine ill health is almost £100 billion. NICE guidance published on managing these issues aims to complement existing initiatives, helping reduce the number of employees on long-term sickness absence, and encouraging going back to work.
The recommendations in the guidance are aimed at all those who have a role in managing long-term sickness absence and incapacity. This includes all employers, employees, managers, workplace representatives, trade unions and professionals, as well as the health service.
Professor Mike Kelly, Public Health Excellence Centre Director, NICE said: “Long-term sickness absence and incapacity for work is a massive issue, and around 175 million working days are lost in Britain each year due to sickness absence; the associated cost of this is reaching £100 billion - more than the annual NHS budget.
“The guidance from NICE aims to help employers and employees work together to ensure that when someone is off work due to genuine illness, the right support is available as early as possible, so they can return to work as soon as they can. We are recommending some very simple and straightforward measures that even the smallest employer can implement. These include keeping in regular positive contact with the staff member when they are off sick, and so ensuring that they don’t feel isolated.”
The recommendations for employers include:
- ensuring the right policies are in place;
- keeping in touch with employees who are off sick;
- allowing properly-trained, impartial people to liaise with employees while they are off sick;
- involving specialists, if appropriate;
- consulting the employee about developing a return-to-work plan, and supporting them fully in implementing the plan.
The guidance also recommends that the Department for Work and Pensions (DWP), as well as other organisations which commission services for those who are unemployed and claiming incapacity benefit, or employment and support allowance, develop an integrated programme, including interviews with trained advisers to discuss the help they need to enter or return to work (paid or unpaid). This recommendation relates to a style of programme similar to DWP’s Pathways to Work, with the shared aim of increasing the number of incapacity benefit recipients returning to work.
Dr Richard Preece, Consultant in Occupational Medicine, Mid Cheshire Hospitals NHS Foundation Trust and member of the PDG said: “Being off work can have a serious impact on your health, and the longer you are off sick, the harder it is to return to work. This guidance is about ensuring people who are away from work get access to the right kind of support at an early stage, helping them return to work sooner.”
Dr Fiona Ford, Senior Lecturer in General Practice, University of Central Lancashire and member of the PDG said: “GPs have a very important role as the first port of call for people who are unable to work due to sickness or disability. This guidance will help GPs to handle requests for sick notes appropriately, and support their patients back into work, avoiding long-term sickness absence whenever possible. It will also help employers know what they can do to make a difference for their member of staff; offering the right support, from the right people, at the right time.”
These recommendations complement the NICE guidance issued in November 2009 on promoting mental wellbeing at work through productive and healthy working conditions. This guidance aims to reduce the estimated 13.7million working days lost each year due to work-related mental health conditions including stress, depression, and anxiety, currently estimated to cost UK employers about £28.3 billion per year.
For more information call the NICE press office on 0845 003 7782 or 07775 583 813.